Provider Demographics
NPI:1194841759
Name:DAVIES, ANN T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:T
Last Name:DAVIES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1300 RIVERSIDE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4353
Mailing Address - Country:US
Mailing Address - Phone:970-224-1670
Mailing Address - Fax:970-495-6218
Practice Address - Street 1:1625 FOXTRAIL DR STE 190
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9089
Practice Address - Country:US
Practice Address - Phone:970-619-6900
Practice Address - Fax:970-619-6990
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO45599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO35389711Medicaid
COP00901780OtherMEDICARE RAILROAD
COCOA102917Medicare PIN